Outcome of Adenoidectomy and Tonsillectomy by Electrocautery Dissection at Surin Hospital

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Teerayoot Jongsuebsit

Abstract

Background: Adenoidectomy and tonsillectomy are most common operation for otolaryngologist especially in pre-school child. The operations differed by different indication with various techniques. Surin hospital adopts electrocautery dissection for the advantage of less blood loss. This study therefore describes the incidence of adenoidectomy and tonsillectomy including its indication, complication and operative time. Moreover, correlation among factors such as age, gender and diagnosis with type of operation and complication were also determined in this study
Methods: a descriptive study performed by patient chart review form October 1st 2016 to September 30th 2017. Collected data includes gender, age, diagnosis, comorbidity, size and location of node, operation technique, operative time including complications. Ethical approval was obtained from Surin hospital ethics review committee.
Results: All patients (159 cases) were female 61.8% with mean age 18.4±14.5 years and average operative time was 53.02 ±1.18minutes. Complication was found 2.5% in which 1.6% was serious complication (major bleeding) and there was no significant correlation between gender, age, node location or operation with the incidence of complication (P>0.05).
Conclusion: Adenoidectomy and tonsillectomy at Surin hospital had serious complication of major bleeding which the incidence rate was comparable to other reports. There was no associated factor to the serious complication. However, the operative time in this study was doubled when compared to the other studies.Definition of operative time should be verified and time record of each operation step must be detailed for further improvement of patient care.
Keywords: adenoid, tonsil

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References

1. กรีฑา ม่วงทอง ปุยฝ้าย จินดาประสาน. การศึกษาเปรียบเทียบการผ่าตัดต่อมทอลซิล ระหว่างวิธีใช้ไฟฟ้าจี้ตัดกับวิธีใช้เส้นลวดตัดและเย็บผูกในผู้ป่วยเด็ก. วารสาร หู คอ จมูกและใบหน้า 2546;4(2):27-34.

2. Ryczer T, Zawadzka-Głos L, Czarnecka P, Sobczyk K. Bleeding as the main complication after adenoidectomy and adenotonsillotomy. New Med 2015;19(4):125-9.

3. Canto GDL, Pachêco-Pereira C, Aydinoz S, Bhattacharjee R, Tan H-L, Kheirandish-Gozal L, et al. Adenotonsillectomy complications: a meta-analysis. Pediatrics 2015;136(4):702-18.

4. Acevedo JL, Shah RK, Brietzke SE. Systematic review of complications of tonsillotomy versus tonsillectomy. Otolaryngol Neck Surg 2012;146(6):871-9.

5. Windfuhr JP. Serious complications following tonsillectomy : How frequent are they really?. ORL. 2013;75(3):166-73.

6. Seshamani M, Vogtmann E, Gatwood J, Gibson TB, Scanlon D. Prevalence of complications from adult tonsillectomy and impact on health care expenditures. Otolaryngol Neck Surg 2014;150(4):574-81.

7. Windfuhr JP, Chen YS, Remmert S. Hemorrhage following tonsillectomy and adenoidectomy in 15, 218 patients. Otolaryngol Neck Surg 2005;132(2):281-6.

8. Tonsillectomy Techniques Differ in Complication Rates [อินเทอร์เน็ต]. Medscape. [อ้างถึง 27 กุมภาพันธ์ 2018]. Available at: https://www.medscape.com/viewarticle/722714

9. Omrani M, Barati B, Omidifar N, Okhovvat AR, Hashemi SAG. Coblation versus traditional tonsillectomy : A double blind randomized controlled trial. J Res Med Sci 2012;17(1):45-50.

10. Tonsillectomy [อินเทอร์เน็ต]. Mater Patient Information. [อ้างถึง 24 มีนาคม 2018]. Available at: https://brochures.mater.org.au//brochures/mater-children-s-private-brisbane/tonsillectomy.